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Managed Care Nursing

Category - Healthcare Management

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A case manager in the hospital admission office has been asked to review information on planned admissions, transfers and direct admissions to determine medical necessity and the appropriate level and location to receive care.

What is this process?

Preadmission utilization review
Preadmission case management
Ongoing utilization management
Preadmission utilization management
Concurrent utilization review

Explanation

Answer: A - Preadmission utilization review (UR) includes a review of planned admissions, transfers and direct admissions by reviewing information to determine medical necessity and appropriate level and location to receive care.

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Managed Care Nursing

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Managed Care Nursing

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